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Asuhan Keperawatan Gerontik pada pasien dengan Osteoarthritis di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Azizah .; Sandra Dewi; Kheniva Diah Anggita; Armaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1809

Osteoarthritis is a degenerative joint disease caused by damage and thinning of the cartilage that protects the ends of bones, resulting in friction between bones and causing pain, stiffness, and swelling, especially in the knees, hips, spine, and fingers. Globally, approximately 528 million people live with osteoarthritis. In Indonesia, the prevalence of osteoarthritis reaches 15.5% in men and 12.7% in women. In West Sumatra, the prevalence reaches 12.7%, with the highest rates found in Pesisir Selatan and Padang Pariaman Regencies. Based on data from the Sabai Nan Aluih Sicincin Social Home for the Elderly in Padang Pariaman Regency, there were seven elderly individuals diagnosed with osteoarthritis. This study aimed to provide geriatric nursing care for patients with osteoarthritis. The research method used was a case study conducted on one managed client from February 11–16, 2026 through observation, interviews, physical examinations, and documentation studies. The results identified nursing problems including chronic pain, impaired physical mobility, and self-care deficits. Interventions provided included pain management, mobilization support, and self-care support. After five days of implementation, the client’s condition improved as indicated by reduced pain levels, increased physical mobility, and improved self-care ability although partial assistance was still needed. It is expected that elderly patients with osteoarthritis will continue independent care practices such as warm compresses, deep breathing techniques, light massage, and range of motion (ROM) exercises.

Asuhan Keperawatan Gerontik Pada Pasien Dengan Diabetes Mellitus Dipanti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Alya Fajriza Candra; Sandra Dewi; Hasmita .; Kheniva Diah Anggita
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1828

Based on the International Diabetes Federation Data in 2021, more than 500 million people worldwide, precisely 537 million, suffer from diabetes. The percentage of the incidence of Diabetes Mellitus in Indonesia according to the Indonesian Health Survey is 1.7% with a total of 877,531 sufferers and the incidence of Diabetes Mellitus in West Sumatra shows 1.2% with a total of 18,138 sufferers. Diabetes Mellitus is a chronic disease caused by the body's inability to produce the hormone insulin or due to ineffective use of insulin production. This is characterized by high blood sugar levels. This case study aims to implement nursing care for Mr. E with Diabetes Mellitus at the Sabai Nan Aluih Sicincin Social Home for the Elderly, Padang Pariaman Regency. The method used is a nursing process approach consisting of assessment, nursing diagnosis, intervention, implementation, evaluation, and documentation. The research design used is descriptive with a case study approach. Data were obtained through interviews and observations. The results of the study are Mr. Mr. E, 73, experienced itching on his palms, with peeling skin, and reported taking Metformin 850 mg twice daily. Three diagnoses were diagnosed in Mr. E's case: unstable blood glucose levels, impaired skin/tissue integrity, and risk of falls. After a 5-day evaluation, the stability of blood glucose levels increased, skin integrity improved, and the fall rate decreased. It can be concluded that comprehensive geriatric nursing care can increase the independence of the elderly in caring for their physical condition independently.

Asuhan Keperawatan Gerontik Pada Pasien Dengan Rheumatoid Arthritis Di Panti Sosialtresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Dini Eka Putri; Sandra Dewi; Mike Asmaria; Armaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1836

The increasing number of elderly people causes an increase in the incidence of chronic diseases, one of which is rheumatoid arthritis which can reduce the quality of life. Data in the world shows that sufferers of joint disorders reach 81% of the population. In West Sumatra, it is recorded at around 8.50% of the population. Data obtained at PSTW Sabai Nan Aluih Sicincin, Padang Pariaman Regency, namely rheumatoid arthritis ranks first with a number of cases of 22 sufferers. The purpose of this case study is to be able to provide nursing care to Mr. M with Rheumatoid arthritis at PSTW Sabai Nan Aluih Sicincin, Padang Pariaman Regency. The research method used is a case study method with a nursing process approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The study was conducted at PSTW Sabai Nan Aluih Sicincin, Padang Pariaman Regency, the implementation time was from 11 to February 16, 2026. The results of the study obtained nursing problems, namely chronic pain, impaired physical mobility, and disturbed sleep patterns. Nursing interventions carried out included pain management, mobility support and sleep support. The implementation included providing non-pharmacological techniques to reduce pain, encouraging range of motion, and modifying the environment to increase comfort. Evaluations of chronic pain, impaired physical mobility, and disturbed sleep patterns were continued and accompanied by caregivers. The conclusion of this case study is that appropriate and continuous nursing care can help reduce pain, increase mobility, and improve the patient's sleep quality. Recommendations are aimed at patients to be able to independently perform non-pharmacological pain management techniques, perform simple mobilization independently, and take medication regularly as prescribed by the doctor. Caregivers are also advised to provide support, regular monitoring, and assistance in implementing optimal patient care.

Asuhan Keperawatan Gerontik Pada Pasien Dengan Stroke Di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Elsa Dita Syafitri; Sandra Dewi; Mike Asmaria; Armaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1843

Stroke is the leading cause of disability in the world and ranks second as a cause of death after heart disease. Data shows that every year there are around 13.7 million new cases of stroke with a death rate reaching approximately 5.5 million people. Data obtained at the PSTW Sabai Nan Aluih Sicincin, Padang Pariaman Regency, shows that stroke ranks fourth with a total of 12 cases. The purpose of this researcher is to provide nursing care to patients with stroke at the Sabai Nan Aluih Sicincin Social Home for the Elderly, Padang Pariaman Regency. The research method used is a case study on one client with a nursing process approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The assessment was conducted on February 11–16, 2026. The results of the assessment showed that the client experienced impaired physical mobility, self-care deficits, and a risk of falling due to muscle weakness and balance disorders. Interventions provided included Range of Motion (ROM) exercises, assistance with daily activities, health education, and fall risk prevention. The evaluation results obtained after 5 days of implementation showed an increase in nursing problems, with muscle strength in the right lower extremity being 3%, an increase in self-care skills, and a decrease in the risk of falls. The conclusion of this study is that comprehensive geriatric nursing care can help improve the functional abilities of elderly people with stroke. It is recommended that clients and caregivers regularly exercise, maintain a healthy lifestyle, and undergo regular health checks to prevent complications and stroke recurrence.

Asuhan Keperawatan Gerontik Pada Pasien Dengan Diabetes Mellitus Dipanti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Safiinatul Muthmainnah; Hasmita .; Vivi Yuderna; Sandra Dewi
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1872

Diabetes Mellitus in the elderly is a global concern. According to the World Health Organization (WHO), the number of elderly people with diabetes mellitus in the world reached approximately 158.3 million in 2024. In Indonesia, the number of elderly sufferers reached approximately 20.4 million people. Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion, impaired insulin function, or a combination of both. This case study aims to provide comprehensive nursing care for elderly people with Diabetes Mellitus. The method used is the nursing process which includes assessment, nursing diagnosis, intervention, implementation, evaluation, and documentation with a descriptive design. The results of the assessment showed that the client experienced tingling in both hands and feet, itching, dry skin, fatigue, frequent thirst, frequent urination especially at night, and blurred vision. The examination results showed a random blood sugar of 257 mg/dL. The client took Metformin 500 mg twice a day, but not regularly. The established nursing diagnoses were unstable blood glucose levels, ineffective health maintenance, and anxiety. Implementation was carried out over five days. Evaluation results indicated that unstable blood glucose levels were not resolved, as indicated by a drop in blood sugar levels to 192 mg/dL. Meanwhile, health maintenance was ineffective, and anxiety was deemed resolved. Nursing care yielded positive results, but continued monitoring is still necessary. It is hoped that the client will maintain medication adherence, adhere to a diabetic diet, perform regular blood sugar checks, and maintain a healthy lifestyle. Recommendations for caregivers and healthcare professionals include providing support, education, and regular monitoring to maintain controlled blood glucose levels and prevent complications.

Asuhan Keperawatan Gerontik Pada Pasien Dengan Gout Arthritis Di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin Kabupaten Padang Pariaman Annisa Aulia; Sandra Dewi; Hasmita .; Armaita .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 1 (2026): April - Juni
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i1.1874

Based on data from the World Health Organization (WHO), the prevalence of gout arthritis at the global level increased in 2023, where the number of sufferers was around 44,000,000 people with a prevalence of 0.56%. Gout arthritis is a disease caused by a purine metabolism disorder that causes the accumulation of uric acid crystals in the joints. This condition is influenced by age, purine consumption, with symptoms such as pain, swelling, stiffness. If left untreated, it can cause joint damage and kidney disorders. The purpose of this study is for the author to be able to provide nursing care to elderly people with gout arthritis. The research method used was a case study for 6 days through interviews, observations, and checking uric acid from February 26 to March 3, 2026. The results of the study obtained 3 nursing diagnoses, namely: chronic pain, impaired physical mobility, ineffective health management. Where the interventions described are pain management, mobilization support, decision-making support and implementation carried out according to the prepared plan. After 5 days of implementation, the results obtained were reduced pain, decreased uric acid levels, increased mobility, and improved health management. The evaluation on the fourth day showed that the diagnosis of ineffective health management was resolved, and the diagnosis of chronic pain and mobility impairment was not resolved, so the caregiver continued. Educating the client to take medication regularly according to the prescribed dosage, maintaining a healthy diet, for example, reducing consumption of coconut milk and green vegetables, and educating the caregiver by reminding the client to take medication regularly, inviting the client to participate in activities held by the nursing home, such as exercise, health education, and arts.

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